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North Carolina rates for HCPCS 90740

Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $234.42 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $162.18 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $363.08 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $234.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $181.97 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $269.15 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $194.98 / $234.42
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08